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The premise of To The Moon is based around a technology that allows doctors to construct artificial permanent memories in the patients – such that a person can request attempts to alter their mind to wake up with memories of things that didn’t actually happen. The technology is mostly used to “fulfill” people’s life-long dreams, be it becoming a rock star or a millionaire or whatnot, when they did not succeed at achieving such things in their real lives.

However, since the artificial memories constructed are permanent, it sharply conflicts with the real memories soon after the person wakes up, and essentially corrupts the person’s mind to a degree that they would not be able to function properly anymore. Thus, the operation is only done to people on their deathbed, in their last moments, to fulfill what they wish they had done with their lives but didn’t.

The machine has one tricky limitation, however. How it works, is that it recreates interactive scenes of the patient’s life from their subconscious memory, and allows the doctor to step into it. They would then attempt to influence the person to make a different decision than they did – and if they succeed, a logical tangent of an alternate “future” (i.e. present) would be formulated with the help of the machine, and written into their permanent memory.

The story follows two of these doctors’ attempt to fulfill the dream of a dying elderly man. In their course to do so, they traverse backwards through the dying man’s memories, unfolding his life story before their eyes.